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COI Expires 03/01/2019
ACORO® �� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 2/27/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Libertate Insurance LLC 707 East Washington Street Orlando, FL 32801 CONTACT NAME: Libertate Insurance, LLC PHONE FAX (A/C. No. Ext : 4076135475 Afc No): 4076135477 MAIL ADDRESS: info Iibertateins.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: lm erium Insurance Company 35408 www.libertateins.com INSURED Stafflink Outsourcing' Inc. 1776 N. Pine Island -Road, Suite 108 INSURER B : INSURERC: INSURERD: Plantation FL 33322 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 40537187 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICYNUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE TO PREMISE Ea oNcurcOence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY1:1 PRO ❑ LOC JECT PRODUCTS - COMP/OP AGG $ $ OTHER: APP D qMSK MRAGEMENT AUTOMOBILE LIABILITY ANY AUTO BY � COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $. OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY DATE Q� s'' WAIVER IV Y BODILY INJURY (Per accident) $ —_ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ EXCESS LIAR DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETORIPARTNER/EXECUTIVE YIN OFFICER/MEMBEREXCLUDED7FN NIA IAUS00009509-02 3/1/2018 3/1/2019 �/ SPER TATUTE OERH E.L. EACH ACCIDENT $ 1,000,000 (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1 000 000 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Coverage provided in all states, execpt in monololistic states, for all leased employees but not subcontractors of: Florida Keys Land Surveying, LLC Client ID # 4146 Effective 08/28/2017 C-ERTIF!C-ATE HOLDER CANCELLATION 4146 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton Street Rm 2-216 ACCORDANCE WITH THE POLICY PROVISIONS. Key West, FL 33040 AUTHORIZED REPRESENTATIVE .. �11 , i Paul R. Hughes ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 40537187 1 STAFOUT-04 ( 18- 19 HIIG Master I Beverly Finkelstein 1 2/27/2018 9:41:22 AM (EST) I Page 1 of 1 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 40537187 1 STAFOUT-04 ( 18- 19 HIIG Master I Beverly Finkelstein 1 2/27/2018 9:41:22 AM (EST) I Page 1 of 1 ACOR I @ CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 2/27/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Libertate Insurance LLC 707 East Washington Street Orlando, FL 32801 NAME: CONTACT Libertate Insurance, LLC PHONE FAX (A/C. No. Eat : 4076135475 A/C No : 4076135477 E-MAIL ADDRESS: Info libertateins.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Imperium Insurance Company 35408 www.libertateins.corn INSURED Stafflink OutsourcingR Inc. 1776 N. Pine Island Road, Suite 108 INSURER B : INSURERC: 1 INSURERD: Plantation FL 33322 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: AnF'471R7 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL D SUBR WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MMIDD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR IK AMENT EACH OCCURRENCE S DAMAGE TO RENTED PREMISES(E. occu ence)$ MED EXP (Any one person) $ PERSONAL & ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO JECT❑ LOC OTHER: GENERAL AGGREGATE $ PRODUCTS -COMP/OPAGG 5 S AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY DATE WAIVER N/4 COMBINED SINGLE LIMIT Ea accident S YEA= BODILY INJURY (Per person) 5 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ S UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE S DED I I RETENTIONS S A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / NH ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUC (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA IAUS00009509-02 3/1/2018 3/1/2019 �/ SPER TATUTE OER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $1 000 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Coverage provided in all states, execpt in monololistic states, for all leased employees but not subcontractors of: Florida Keys Land Surveying, LLC Client ID # 4146 Effective 08/28/2017 CERTIFICATE HOLDER CANCELLATION Monroe County BOCC 1100 Simonton Street Rm 2-216 Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Paul R. Hughes ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 40537187 1 STAFOUT-04 1 18- 19 H11q Master I Beverly Finkelstein 1 2/27/2018 9:41:22 AM (EST) I Page 1 of 1